JILL M WALLACE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002487

License Status

ACTIVE

Business

First Name

JILL M

Last Name

WALLACE

Business Name

JILL M WALLACE

Original Issue Date

10/01/1996

Effective Date

09/15/2025

Expiration Date

09/30/2027

City

KNOXVILLE

State

Zip

61448

County

KNOX

Ever Disciplined

LastModifiedDate

09/15/2025